FAQ - dumping syndrome
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Dumping syndrome?


I've been having a few problems with my stomach after surgery, I had my gall bladder removed. My dad was talking to one of the girls we work with who is a nurse & she suggested Dumping Syndrome. Does anyone know what this is? Or if that is what it could be?

I've been having severe stomach aches, a sharp pain in my right side, I haven't been able to eat with out getting sick.

I am going to see my surgeon tomorrow. Any help would be appreciated!! I have also been looking around on WebMD and Google, but i was wanting some personal experiences exct.
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It does sound like Dumping Syndrome. I know many people that have it due to weight loss surgery. I get it because I had my entire stomach and gall bladder removed. Many people have different experiences with it. Because I have no stomach, I am unable to vomit and get severe diarrhea that usually results in severe dehydration requiring 3 bags of ringers IV fluid. Because of that, when I know I will be eating something higher in simple carbs and/or sugar, I usually take 2 Immodium before I eat and then 3 Carb blockers during the meal and that prevents me from dumping. I am a seller of Carb Blockers and have found them to be very helpful. (not trying to advertise here) I know others that take Gas X after meals if they get bloated from a meal. Being that you still have a stomach, you may be able to change your diet and find relief. I have provided information below on dumping syndrome and dietary changes that can help.

This is what it is: "Dumping syndrome is a relatively rare disorder in which the stomach's contents are delivered too quickly to the small intestine. Symptoms include abdominal pain, bloating, abdominal cramping, diarrhea, and dizziness. In addition, people with this syndrome often suffer from low blood sugar, or hypoglycemia, because the rapid "dumping" of food triggers the pancreas to release excessive amounts of insulin into the bloodstream.

Dumping syndrome classically develops after gallbladder surgery, although it may also occur after other abdominal operations, such as ulcer surgery or surgery for severe reflux."

According to the Mayo Clinic, this is how it is treated:
"Eat smaller meals. Try consuming about six small meals a day rather than three larger ones.

Avoid fluids with meals. Drink liquids only between meals.

Change the makeup of your diet. Consume more low-carbohydrate foods. In particular, concentrate on a diet low in simple carbohydrates, such as sugar (found in sweets like candy, cookies and cakes). Read labels on packaged food before buying, with the goal of not only avoiding foods with sugar in their ingredients list, but also looking for (and staying away from) alternative names for sugar, such as glucose, sucrose, fructose, dextrose, honey and corn syrup. Artificial sweeteners are acceptable alternatives.

Consume more protein in your diet and adopt a higher fiber diet.

Increase pectin intake. Pectin is found in many fruits, such as peaches, apples and plums, as well as in some fiber supplements. It can delay the absorption of carbohydrates in the small intestine.

Stay away from acidic foods. Tomatoes and citrus fruits are harder for some people to digest.

Use low-fat cooking methods. Prepare meat and other foods by broiling, baking or grilling.

Consume adequate vitamins, iron and calcium. Discuss this nutritional issue with a registered dietitian.

Lie down after eating. This may slow down the movement of food into your intestines.

Even with dietary changes, you may continue to experience severe symptoms associated with dumping syndrome.

Medications
Your doctor may prescribe certain medications to slow the passage of food out of your stomach, and relieve the signs and symptoms associated with dumping syndrome."

While this information is more geared towards people that have had weight loss surgery, some of it may be helpful to you. However your surgeon will be able to provide you with the best advice as he/she knows your history and performed your surgery. This is just information that I thought may be helpful to you.

I hope this helps and good luck!

Michelle  (+ info)

How to stop or prevent the Dumping Syndrome after a feeding through my Feeding Tube inserted in my stomach?


I am 25yrs old, Cancer Survivor of Nasopharyngeal Carcinoma (NPC) a form of Head & Neck Cancer, that due to the treatment I received to kill the Cancer I am not able to eat or drink by mouth at this moment. I live off of a Feeding tube (PEG) inserted in my stomach in which I give myself feedings every 4-5 hours, 2 Cans of Ensure Plus at a time. I have been living like this for about a 14 months now, the past 2 months I am not able to have the two cans like I am suppose to have because I get what I learned it to be called the Dumping Syndrome. I get very drosey, start to sweat like crazy, get very irritable for about 10-15 minutes and I get very hot. I have been using the same type Ensure Plus for the past 13 months but all of sudden I have been getting a reaction to the Milk. Having these cans of Milk through the feeding tube is my only souce of Nutrition so I can not have less or stop taking it. How can I still take the Ensure without getting those symptoms? Any help will Help
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I have had 2 PEG tubes and suffered SEVERLY from Dumping Syndrome.

You can see a Dietician who can change the type of feed you are on for another one that you can use less of but still get all of the nutrients that you need.

With me I had dumping from Fibresource which I had to take a can over an hour but created massive problems. Until it got to the point that my body wouldn't even except 60ml's without dumping.

So it get's worse once it starts so you need to get on top of it ASAP.

So the dietician found another one (gone blank on the name) that I had only to use one can over a 2 hour feed, 3 times a a day, without dumping, to get all of what I needed.

As this is your only source of nutrition I suggest you speak to ANY dietician today or tomorrow.
It can be dealt with.

E-mail me through my profile if I can help any more or want a chat to someone else who misses eating by mouth.

Good luck.  (+ info)

Has anyone heard of "dumping syndrome" where food digests very fast and causes stomach pain and nausea?


My husband was recently diagnosed with this and they called it Rapid Gastric Emptying or Dumping Syndrome. He has been having a lot of pain and the medication he's on hasn't helped. Just wasn't sure if anyone had heard of or has this and what treatments they got.
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I know that happens to people who have had weight reduction surgery, where they make your stomach very small with a band. Then when they overeat and 'dump' they're in a lot of pain.
http://www.mayoclinic.com/health/dumping-syndrome/DS00715
http://www.emedicine.com/med/topic589.htm
http://en.wikipedia.org/wiki/Gastric_dumping_syndrome  (+ info)

Is there a predigested formula for dumping syndrome? ?


I'll be very suprised if there is not. Isn't dumping syndrome caused by undigested foods going into intestines? Shouldn't we be able to soak foods in a imitation vomit and eat it?
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  (+ info)

What are some ways to minimize "dumping syndrome" after gastric bypass?


I have a friend who is losing weight due to this and has problems with her blood sugar dropping.
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The dumping syndrome is the major tool from this surgery. A great many of the people who have this surgery, don't experience this and wish they would. In order to avoid having that problem, your friend needs to NOT eat any simple carbs. This includes: flour, rice, sugar, pasta, and anything made from these products. Some people also have this problem with fats. Your friend should look for fatfree or low fat foods that don't have a lot of carbs added for flavor.

Basically the rules are....don't eat more than 1000 calories, you must eat 70 gr of protein, don't eat more than 100 gr of carbs in a day and no more that 15 gr in a serving, don't eat more than 50 gr of fat in a day, take your vitamins and minerals, drink 64 oz of water, and make the protein the first thing you eat in a meal. If these rules are followed your friend will have no dumping episodes.

You didn't say if your friend is diabetic. Most people no longer have sugar issues after the surgery. The only reason there may be a problem is if your friend isn't eating enough. She needs to eat enough to keep her/his body functioning properly. How long has it been since this person's surgery?

I know, I had surgery 5.5 months ago, my brother had it 5.5 years ago and I belong to an online Yahoo group called Weight Loss Surgery Friendship & Support. There are some great people on there who have had the surgery and love to help people with any questions they have. Come join us.

Good Luck.  (+ info)

What are the risk factors, signs and symptoms of Dumping Syndrome?


Please help me. I really need to know for a paperwork. Thanks!
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Rick Factors are:
Several types of stomach surgery increase your risk of dumping syndrome. These include:

* Gastrectomy, in which a portion or all of your stomach is removed. It typically includes removing the pylorus.
* Gastroenterostomy or gastrojejunostomy, in which your stomach is surgically connected directly to your small intestine about two feet beyond the pylorus, thus bypassing the pylorus. Doctors sometimes perform this operation in people with cancer of the stomach.
* Vagotomy, in which the nerves to your stomach are cut in order to lower the levels of acid manufactured by your stomach.
* Fundoplication, which is an operation sometimes performed on people with gastroesophageal reflux disease. It involves wrapping the upper portion of your stomach around the lower esophagus to apply pressure that reduces the reflux of gastric contents into the esophagus. However, on rare occasions, certain nerves to the stomach can unintentionally be damaged during surgery and lead to dumping syndrome.
* Gastric bypass surgery (Roux-en-Y operation), which is often performed in people who are morbidly obese. It surgically creates a stomach pouch that's smaller than the entire stomach, meaning you're no longer able to eat as much as you once did, resulting in weight loss.

Certain underlying conditions also may make you more susceptible to dumping syndrome. These conditions include:

* Diabetes
* Zollinger-Ellison syndrome, which causes severe peptic ulcers

In addition, using the medication metoclopramide (Reglan) can increase your risk. This drug is sometimes prescribed to ease nausea, vomiting and heartburn.

Symptoms

When symptoms of dumping syndrome occur during a meal or within 15 to 30 minutes following a meal, they may include:

* Nausea
* Vomiting
* Abdominal pain, cramps
* Diarrhea
* Dizziness, lightheadedness
* Bloating, belching
* Fatigue
* Heart palpitations, rapid heart rate

When signs and symptoms develop later, they may include:

* Sweating
* Weakness, fatigue
* Dizziness, lightheadedness
* Shakiness
* Feelings of anxiety, nervousness
* Heart palpitations, rapid heart rate
* Fainting
* Mental confusion
* Diarrhea

Some people experience both early and late signs and symptoms. Conditions such as dizziness and heart palpitations can occur either early or late — or both. No matter when problems develop, however, they may be worse in the aftermath of a high-sugar meal, especially one that's rich in sucrose (table sugar) or fructose (fruit sugar).

Some people also experience low blood sugar (hypoglycemia), related to excessive levels of insulin delivered to the bloodstream as part of the syndrome. Hypoglycemia is more often related to late signs and symptoms. Insulin influences your tissues to take up the sugar present in your bloodstream.  (+ info)

What is dumping syndrome of the bowels?


I think this is related to loose stools and bowel evacuation
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  (+ info)

Can people with crohns disease have dumping syndrome as a symptom?


Absolutely!  (+ info)

Is it possible to develop "Dumping Syndrome" after...?


after having your gallbladder removed?
i had mine removed October 08 after my second kid was born and i have been really sick and "down in the dumps" lately. could it be dumping syndrome, or could it be that i am just sick with something.

i have to use the restroom every time i eat not even 5 minutes after im done eating. it started about a week ago so its not normal.
i know that most people after having their gallbladder removed had the dumps from the second they got out of surgery, but that wasn't the case with me.
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It's been a week so you might want to see a doctor.

Sooner, if there are ANY other symptoms other than the frequent bowel movements.

Dumping syndrome is when your stomach empties too fast - the symptoms are usually different, and include shakiness (due to hypoglycemia).

Gallbladder surgery can disrupt the bowels, because the bile is always flowing, but it is unusual that it would occur this late.

You may have an intestinal bug, a bit of IBS, and/or ate something a bit bad?

Any other symptoms? That might help narrow it down.

Make sure to stay hydrated, especially if you have watery BMs. And make sure you are getting electrolytes into your body.

And do ask your doctor, in case it is something more serious and/or related to the surgery or a possible complication.  (+ info)

Does anyone have dumping syndrome after having their gallblader out?


If so does it happen everytime you eat or just when you eat greasy foods?
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I had mine out about 10 years ago. Mostly I had this in the morning and sometimes when I ate greasy foods. It seems to have gotten better as time goes by. Still that beats having a gallstone attack anyday......  (+ info)

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